Background

The Monthly A&E Attendances and Emergency Admissions collection collects the total number of attendances in the calendar month for all A&E types, including Minor Injury Units and Walk-in Centres, and of these, the number discharged, admitted or transferred within four hours of arrival.

Also included are the number of Emergency Admissions, and any waits of over four hours for admission following decision to admit.

Data are shown broken down by System and at provider organisation level, from NHS Trusts, NHS Foundation Trusts and Independent Sector Organisations.

The future publication dates for the monthly statistics can be found on our 12 month calendar here.

A fuller analysis of the A&E data across NHS England and NHS Digital is available in the form of an annual report. This report draws on A&E data from both the Monthly A&E Attendances and Emergency Admissions Sitrep published by NHS England and the annual Hospital Episode Statistics data set published by NHS Digital. The Hospital Episode Statistics dataset is based on patient level data and so can be broken down in numerous ways that the Monthly Sitreps data cannot. This includes breakdowns of attendances and admissions by age and by diagnosis. The 2023-24 annual report can be found here. In addition, NHS Digital publishes monthly quality indicators which can be found here.

Further information for this collection, including the guidance document, can be found here

England Time Series

In addition to the monthly data, we have provided quarterly and monthly time series for users that require data over longer periods. It should be noted however that for periods prior to June 2015 both data sets are derived from a previous weekly collection.

The quarterly time series consists of 13 week aggregates for the periods from 2011-12 to Quarter 1 of 2015-16. Quarters after Quarter 1 of 2015-16 are based on aggregates of three calendar months. The Monthly time series prior to June 2015 is an estimate generated by apportioning the weekly totals based on how many days of the week fell into a particular month. This was produced in order to provide comparisons to months in previous years and should only be considered as an estimate.

Actual data for the A&E activity prior to June 2015 can be found in the weekly time series here.

Provider to System Mapping

System Mapping File (XLS, 71.5K)

Type 3 Attribution

Acute Trust Attribution File (XLS, 135K)

Latest Publication

April 2025 published 15th May 2025

Date of Next Publication

12th June 2025

Data Quality

Information on data quality can be found here: Statistics » Data Quality

Statistical Commentary

Statistical Commentary April 2025 (PDF, 162KB)
ECDS Supplementary Analysis Statistical Commentary April 2025 (PDF, 88.8KB)

Commentary for historical months are available on request by emailing: england.aedata@nhs.net

Please note that the Supplementary ECDS Analysis has been expanded to include Type 2 providers (February 2023 onwards) and Urgent Treatment Centres (September 2023 onwards)

April 2025

Monthly A&E April 2025 (XLS, 426K)
Monthly A&E April 2025 (CSV, 28.2K)
Supplementary ECDS Analysis April 2025 Provisional (XLS,356K)
Statistical commentary April 2025 (PDF, 162K)

Contact Us

For further information about the published statistics, please contact us at:

Operational Insights (UEC)
NHS England
A6.08 Wellington Place
Leeds LS1 4AP
Great Britain
Email: england.aedata@nhs.net